Reasons for Nonadherence to Psychiatric Medication and Cardiovascular Risk Factors Treatment Among Latino Bipolar Disorder Patients Living in Puerto Rico: A Qualitative Study
Reasons for Nonadherence to Psychiatric Medication and Cardiovascular Risk Factors Treatment Among Latino Bipolar Disorder Patients Living in Puerto Rico: A Qualitative Study
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DOI：
10.1007/s10597-017-0202-z
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发表时间：
2018-08-01
影响因子：
2.7
通讯作者：
Bernal, Guillermo
中科院分区：
文献类型：
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作者：
Ralat, Sandra I.;Depp, Colin A.;Bernal, Guillermo
双相情感障碍（BD）的拉美裔人有一个较高的比率不遵守精神科药物和治疗其他医疗条件，如心血管疾病（CVD）的危险因素比非拉美裔BD。本研究的目的是确定患者的观点的原因，不遵守精神科药物治疗和心血管疾病的危险因素条件下，在门诊患者的BD。共为22名23至60岁的成年人举行了三次重点小组会议。参与者有BD，I/II型和CVD风险因素。对焦点小组的录音进行了转录，并进行了内容分析。与CVD风险因素相比，BD药物依从性障碍的原因有所不同，这表明需要针对BD和CVD风险因素的依从性障碍进行综合干预。
Latinos with bipolar disorder (BD) have a high rate of nonadherence to psychiatric medication and treatment for other medical conditions such as cardiovascular disease (CVD) risk factors than non-Latinos with BD. The aim of this study is to identify patients' perspectives on the reasons for nonadherence to psychiatric medication and for CVD risk factors conditions in outpatients with BD. Three focus group sessions were held for a total of 22 adults ranging from 23 to 60 years old. Participants had BD, Type I/II and CVD risk factors. Audio-recordings of focus groups were transcribed and a content analysis was performed. Reasons identified as barriers to adherence were somewhat different for BD medications in comparison to CVD risk factors suggesting the need for integrated interventions targeting these barriers to adherence for both BD and CVD risk factors.